Provider Demographics
NPI:1013230978
Name:BOWNE, STEPHEN P (DMD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:P
Last Name:BOWNE
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 E 69TH ST APT 2R
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5722
Mailing Address - Country:US
Mailing Address - Phone:212-753-3723
Mailing Address - Fax:
Practice Address - Street 1:150 E 69TH ST APT 2R
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5722
Practice Address - Country:US
Practice Address - Phone:212-753-3723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-08
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0363531223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics